Comparison of early outcomes for laparoscopic ventral hernia repair between nonobese and morbidly obese patient populations

Ching, Siok Siong; Sarela, Abeezar; Dexter, S. P. L.; Hayden, Jeremy D.; McMahon, Michael

doi:10.1007/s00464-008-0039-1

Cited by 62 publications

(42 citation statements)

References 20 publications

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“…La mediana del diámetro mayor de los defectos reparados fue 6 cm (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). 67,7% de los defectos reparados correspondieron a hernias incisionales, un 26% (n = 33) de los casos eran recidivas de reparaciones anteriores, esteroidales y paracetamol por horario.…”

Section: Resultsunclassified

“…Existen controversias respecto a la reparación de hernias ventrales en pacientes sometidos a cirugía bariátrica, debido a que la obesidad es, por si mismo, un factor que determina recidiva herniaria 7 . Se ha descrito en estos pacientes un porcentaje de recidiva que oscila entre un 3 y 8,3% 8,9 , sin embargo, experiencias recientes estiman que la recidiva entre obesos y no obesos sería similar 10 . En nuestra serie, no se registran complicaciones perioperatorias en este subgrupo de pacientes y se observó recidiva en sólo 3 casos cuyos diámetros de defecto superaban los 10 cm.…”

Section: Discussionunclassified

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Hernioplastía Ventral Laparoscópica

et al. 2014

Rev Chil Cir

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Laparoscopic repair of ventral herniasBackground: Ventral hernias are defects of the anterior abdominal wall, the laparoscopic repair has shown some advantages compared to open repair. Aim: To evaluate perioperative outcomes of the laparoscopic ventral hernia repair and to describe risk factors associated to recurrence. Methods: Non-concurrent prospective cohort study, clinical data of all patients who underwent laparoscopic ventral hernia repair between June 2006 and May 2013 were reviewed. Univariate analyses were performed using chi-square for categorical variables and U Mann-Whitney test for continuous variables. Multivariate analysis was performed using a logistic regression model. Results: 127 patients underwent laparoscopic ventral hernia, 52% female, age of 58.1 ± 1.2 years old. Mean Body Mass Index (BMI) was 31 ± 0.5 kg/m 2 and 67.7% were incisional hernias. Median operative time was 80 minutes (ranging from 30-350) and the median defect size was 6 cm (ranging from 2-20). Conversion to open surgery was necessary in 4 cases (3.9%). Median of hospital stay was 2 days (ranging from 1-15). Recurrence rate was 14.2% and the median to recurrence was 9 months. Recurrence rate was associated positively to defect size > 10 cm (p = 0.002), previous recurrence (p = 0.029) and operative time > 90 minutes (p = 0.017) in the univariate analyses. However, it was only associated to the first two in the multivariate analysis (OR 3.906; respectively). Conclusions: Laparoscopic repair of ventral hernia is a safe procedure with acceptable perioperative complication rates. Defect size and previous recurrence are associated to a higher recurrence rate.

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Section: Resultsunclassified

Section: Discussionunclassified

Hernioplastía Ventral Laparoscópica

et al. 2014

Rev Chil Cir

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“…The average recurrence rate for LVHR is less of 4% and depends of defect type (primary or incisional) and size, mesh defect overlap and type of mesh fixation (apparently transfascial sutures have an advantage in term of recurrence) [7][8][9][10][11][12]. However a recent meta-analysis about mesh fixation devices failed to demonstrate the advantages of transfascial sutures [14].…”

Section: Discussionmentioning

confidence: 99%

“…The technique is especially preferred for medium size parietal defects (less of 10 cm in diameter) in obese patients because it reduces the wound infection rate as well as overall morbidity [7,10,11]. However there are several relative contraindications as large parietal defects (over 10 cm in diameter) and severe comorbidities (contraindication for laparoscopy and general anesthesia) [7].…”

Section: Patients' Selectionmentioning

confidence: 99%

Ventral Hernia Repair by Laparoscopic Approach, how to do it

2014

J de Chirurgie

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“…Some studies showed that laparoscopic repair has advantages in length of hospital stay, postoperative pain and social reinsertion, but the costs are higher than in the open surgery [3].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Comparison In Open Vs. Laparoscopic Ventral Hernia Repair In Obese Patients

Dogaru¹,

Avram²,

Gherghinoiu³

et al. 2017

ARS Medica Tomitana

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Introduction: Obesity is an important problem in our society. Recent studies shows that laparoscopic ventral hernia repair has advantages in obese patients comparing with the standard open approach. This study wants to compare length of stay (LOS), hospitalization costs (HC) and operative time (OT) in laparoscopic and open ventral hernia repair. Methods: A retrospective study of obese patients (BMI>30kg/m²) that underwent ventral hernia repair between 2014 and 2015 were included. We compared demographics, hernia size, OT, LOS, HC between the two approaches. Results: 100 patients with ventral hernia repair were included, 11 had laparoscopic approach (11%). Laparoscopy was performed only in elective surgery and for small defects. The operation time was almost the same (119.09 vs.118.87 min). The length of stay was significantly longer in open approach (8.53 vs. 2.9 days) and hospitalization costs were higher for laparoscopic repair. Conclusions: Laparoscopy offers a better length of stay, but the costs remains higher for this approach.

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Comparison of early outcomes for laparoscopic ventral hernia repair between nonobese and morbidly obese patient populations

Abstract: No significant difference in the incidence of perioperative complications or recurrence after LVHR was observed between the morbidly obese patients and the non-morbidly obese patients.

Cited by 62 publications

References 20 publications

Hernioplastía Ventral Laparoscópica

Hernioplastía Ventral Laparoscópica

Ventral Hernia Repair by Laparoscopic Approach, how to do it

Postoperative Comparison In Open Vs. Laparoscopic Ventral Hernia Repair In Obese Patients

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